摘要
目的 探讨主动健康管理模式对社区"三高"患者的管理效果.方法 选择 2021 年 5 月—2023 年5 月深圳市坪山区人民医院各社康中心管辖范围内常住居民中的 127 例"三高"患者为研究对象,通过随机数表法将其分为对照组(n=64)与研究组(n=63).对照组实施常规管理,研究组实施主动健康管理.对比两组患者的体重、腰围、血压、血糖、血脂水平、并发症发生情况及遵医嘱依从率.结果 管理后,研究组的体重低于对照组,腰围小于对照组,组间差异有统计学意义(P﹤0.05);研究组的舒张压、收缩压、空腹血糖、餐后 2h血糖、糖化血红蛋白水平均低于对照组,组间差异有统计学意义(P﹤0.05);研究组的胆固醇、甘油三酯、低密度蛋白胆固醇水平均低于对照组,高密度蛋白胆固醇水平高于对照组,组间差异有统计学意义(P﹤0.05).研究组的遵医嘱依从率为98.41%,高于对照组的84.78%,并发症发生率为0.00%,低于对照组的9.38%,组间差异有统计学意义(P﹤0.05).结论 主动健康管理模式可有效降低社区"三高"患者的血压、血脂、血糖水平,减少并发症的发生,提高患者的遵医嘱依从率.
Abstract
Objective To explore the management effect of active health management model on"three highs"patients in community.Methods From May 2021 to May 2023,one hundred and twenty-seven patients with"three highs"who were permanent residents within the jurisdiction of community health centers of Pingshan District People's Hospital of Shenzhen City were selected as the research objects.They were divided into the control group(n=64)and the study group(n=63)by random number table method.The control group implemented routine management,while the study group implemented active health management.The weight,waist circumference,blood pressure,blood glucose,blood lipid levels,complications and compliance rate of the two groups were compared.Results After management,the weight of the study group was lower than that of the control group,and the waist circumference was smaller than that of the control group,and the differences between the groups were statistically significant(P﹤0.05);the levels of diastolic blood pressure,systolic blood pressure,fasting plasma glucose,2 hours postprandial blood glucose and glycated hemoglobin A1c in the study group were lower than those in the control group,and the differences between the groups were statistically significant(P﹤0.05);the levels of cholesterol,triglyceride and low-density protein cholesterol in the study group were lower than those in the control group,and the level of high-density protein cholesterol was higher than that in the control group,and the differences between the groups were statistically significant(P﹤0.05).The compliance rate of the study group was 98.41%,which was higher than 84.78%of the control group,and the complication rate was 0.00%,which was lower than 9.38%of the control group,and the differences between the groups were statistically significant(P﹤0.05).Conclusion Active health management model can effectively reduce the blood pressure,blood lipid and blood sugar levels of the"three highs"patients in the community,reduce complications,and improve the compliance rate of patients.
万方数据